Individual
MR. GARY RICHARD FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1723 S RAY ST, SPOKANE, WA 99223-3832
(509) 535-7434
(509) 536-4744
Mailing address
1723 S RAY ST, SPOKANE, WA 99223-3832
(509) 535-7434
(509) 536-4744
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000044
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5021027
—
WA
01
—
91062
WDS DELTA DENTAL
WA
Enumeration date
12/04/2006
Last updated
07/09/2007
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